| NPI | 1043336738 |
|---|---|
| Doing Business As | BLUE RIVER REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. BERG Assistant Secretary 505-468-4752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 042936) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-01-26 |